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Drug Utilization Review

Blue Cross Medicare AdvantageSM conducts drug utilization reviews for all of our members to ensure they are receiving safe and appropriate care. These reviews are especially important for members who have more than one doctor prescribing their medications.

We conduct drug utilization reviews each time you fill a prescription and on a regular basis by reviewing our records. During these reviews, Blue Cross Medicare Advantage looks for medication problems such as:

Possible medication errors

Duplicate drugs that are unnecessary because you are taking another drug to treat the same medical condition

Drugs that are inappropriate because of your age or gender

Possible harmful interactions between drugs you are taking

Drug allergies

Drug dosage errors

If Blue Cross Medicare Advantage identifies a medication problem during our drug utilization review, we will work with your doctor to correct the problem.

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